Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265484299 Individual Practitioner Male Practitioner

Dr. Theodore Eugene Johnsrude , MD

Urology • Silverdale, WA

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Johnsrude, MD is a registered healthcare professional specializing in Urology in Silverdale, WA. Practice services are available at 9398 RIDGETOP BLVD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9398 Ridgetop Blvd Nw

Silverdale, WA 983838505

Telephone 3607823200
Fax 3607823245
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Silverdale, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Silverdale, WA (351 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD00019724

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8316200 (WA)
Commercial Insurance / Payer ID Labor & Industries
75433 (WA)
Commercial Insurance / Payer ID Aetna
5358025
Commercial Insurance / Payer ID Regence Blue Shield
JO4187

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Courtney Shick , PA-C

Physician Assistant - Medical

NPI 1003066432

Physician Assistant (Certified)

NPI 1033859509

Doctor of Medicine (M.D.), Master of Public Health

NPI 1235167180

Doctor of Medicine (M.D.)

NPI 1265620363

Doctor of Osteopathic Medicine (D.O.)

NPI 1275823684

Doctor of Medicine (M.D.)

NPI 1386688422

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2007

Registered at 9398 RIDGETOP BLVD NW, SILVERDALE, WA 983838505 (Tel: 3607823200)

📍
Updated Business Mailing Address October 30, 2007

Registered at 2512 WHEATON WAY, BREMERTON, WA 983103399

👤
Provider Name / Credentials Updated October 30, 2007

Recorded as THEODORE JOHNSRUDE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2007

Urology (License #MD00019724 in WA)

🟢
Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265484299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

2512 Wheaton Way

Bremerton, WA 983103399

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.